Individual provider Active NPI

Kayla Owata, DPT

  • Physical Therapist
  • Lebanon, TN
National Provider Identifier
1124566468
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15274 Issued in TN
Practice address
920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136
Phone
(615) 547-6488
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210888 VA
Physical Therapist 225100000X 15274 TN Primary

Addresses

Primary practice location

920 S Hartmann Dr Ste 330
Lebanon, TN 37090-4136

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

121 Bear Xing Ste 300
MT Juliet, TN 37122-4306
Phone (615) 885-0200

Other practice location 2

5651 Frist Blvd Ste 200
Hermitage, TN 37076-2056
Phone (615) 885-0200

Other identifiers 1

IdentifierTypeStateIssuer
C05954OtherVAGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, shared by 2 NPIs, 390 clinicians

Practice addresses (Care Compare)

920 S Hartmann Dr
Suite 330
Lebanon, TN 37090-4136
Phone (615) 547-6488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15274TNMDPhysical Therapist
2305210888VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family YMCA, Inc. Physical Therapist PastSince Feb 7, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1124566468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HARTMANN DR STE 330",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904136",
            "telephone_number": "615-547-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Bear Xing Ste 300",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371224306",
            "country_code": "US",
            "telephone_number": "615-885-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5651 Frist Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762056",
            "country_code": "US",
            "telephone_number": "615-885-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWATA",
        "first_name": "KAYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.